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Senate Proceeding on Mar 16th, 2011 :: 0:05:10 to 0:18:25
Total video length: 9 hours 34 minutes Stream Tools: Stream Overview | Edit Time

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Benjamin L. Cardin

0:05:07 to 0:05:27( Edit History Discussion )

Benjamin L. Cardin: will the chair announce morning business. the presiding officer: under the previous order the leadership time is reserved. under the previous order the senate will be in a period of morning business until 10:30 a.m. with senators permit to speak for 10 minutes each with the time equally divided and controlled between the two leaders or designees with the majority controlling the first half and the republicans

Benjamin L. Cardin

0:05:10 to 0:18:25( Edit History Discussion )
Speech By: Benjamin L. Cardin

Benjamin L. Cardin

0:05:28 to 0:05:48( Edit History Discussion )

Benjamin L. Cardin: controlling the final half. the senator from maryland. mr. cardin: madam president, i take this time to reap flect with my -- to reflect with my colleagues that we celebrate today, the one-year anniversary of the passage of the affordable care act and to reflect on how much has happened to improve health care in america since the

Benjamin L. Cardin

0:05:49 to 0:06:10( Edit History Discussion )

Benjamin L. Cardin: passage of the affordable care act. and we have reason to celebrate. if you are a senior in the medicare program and you now know that you can see your doctor or your primary care doctor every year for an annual wellness exam and that wellness exam will now be covered under medicare so you have an

Benjamin L. Cardin

0:06:11 to 0:06:31( Edit History Discussion )

Benjamin L. Cardin: opportunity to meet with your doctor and take charge of your own health, you have a reason to celebrate the passage of the affordable care act. if you're a senior that happens to fall within the coverage gap under the prescription drug benefits in medicare, the so-called doughnut hole, and you've been forced at times to

Benjamin L. Cardin

0:06:32 to 0:06:53( Edit History Discussion )

Benjamin L. Cardin: leave prescriptions on the calendar of the drug store because you couldn't afford to pay the cost of the prescriptions, and you now know that there is coverage in medicare if you fall within that gap. for last year seniors, 3.2 million of them, who fell

Benjamin L. Cardin

0:06:54 to 0:07:15( Edit History Discussion )

Benjamin L. Cardin: within the gap, received a $250 check. this year the seniors that fall within this coverage gap will receive a 50% discount on their brand named drugs. next year their benefit will be worth as much as $2,400. and by 2020 we will close the gap entirely all as a result of

Benjamin L. Cardin

0:07:16 to 0:07:38( Edit History Discussion )

Benjamin L. Cardin: the passage of the affordable care act, you have reason to celebrate that congress finally got the job done. and if you are an american family, like many, and you celebrate your child's graduation from college only to find out that your child could no longer be covered under your health insurance policy because

Benjamin L. Cardin

0:07:39 to 0:08:00( Edit History Discussion )

Benjamin L. Cardin: of the age restrictions, and now you learn that congress has changed that age to 26 so that you can keep your youngster under your family insurance program and that child now has health insurance and you're one of 1.2 million people who benefit from this provision that

Benjamin L. Cardin

0:08:01 to 0:08:21( Edit History Discussion )

Benjamin L. Cardin: was in the affordable care act, you have reason to celebrate the passage of the affordable care act. madam president, if you are a smawp owner -- if you are a small business owner who can now afford to cover your employees

Benjamin L. Cardin

0:08:22 to 0:08:42( Edit History Discussion )

Benjamin L. Cardin: because of the tax credit in the affordable care act, four million institutions will be eligible for that tax credit. soon you will be able to get competitive rates, small businesses pay 20% more for the same coverage as large companies, but congress took action last year to eliminate that disparity.

Benjamin L. Cardin

0:08:43 to 0:09:04( Edit History Discussion )

Benjamin L. Cardin: if you are one of those small business owners who are now benefiting from that tax credit or who will benefit from better rates and better choice, you have reason to celebrate the passage of the affordable care act. or if you happen to be a consumer of health insurance, as

Benjamin L. Cardin

0:09:05 to 0:09:25( Edit History Discussion )

Benjamin L. Cardin: almost all of us are, and you want value for your premium dollar, you now know as passage of the affordable care act the lion share of your premiums muss must go for health benefits, reining in the insurance

Benjamin L. Cardin

0:09:26 to 0:09:49( Edit History Discussion )

Benjamin L. Cardin: companies and you now know that congress has taken action to prevent the abusive practices of private insurance companies, you have reason to celebrate the passage or if you happen -- in the mountain of west virginia

Benjamin L. Cardin

0:09:50 to 0:10:12( Edit History Discussion )

Benjamin L. Cardin: and fell off of a cliff and and flown to the closest emergency room to receive care, was denied coverage because he did not call ahead for preauthorization, tough a reason to celebrate the enactment of the affordable care act. yes, insurance companies denied

Benjamin L. Cardin

0:10:13 to 0:10:35( Edit History Discussion )

Benjamin L. Cardin: coverage for emergency care because of requirements for preauthorization or they are denied coverage because of the ultimate diagnosis did not meet their standard for reimbursement even though their symptoms indicated that you should seek emergency care. i started working on that issue

Benjamin L. Cardin

0:10:36 to 0:10:57( Edit History Discussion )

Benjamin L. Cardin: in 1995 known as the prudent lay person standards for requiring insurance companies to reimburse their policyholders for visits to an emergency room where their symptoms indicated that they should go to the emergency room. in 1997, medicare and medicaid were changed in order to provide for the prudent layperson's

Benjamin L. Cardin

0:10:58 to 0:11:21( Edit History Discussion )

Benjamin L. Cardin: standard for reimbursement. well, now, all insurance companies must comply with that standard because of the passage of the affordable care act. or if you're a parent who has a child who has asthma or have been told that the insurance company won't provide full coverage because of your child's pre-existing condition and now

Benjamin L. Cardin

0:11:22 to 0:11:43( Edit History Discussion )

Benjamin L. Cardin: you can get full coverage for your child, you, too, have a reason to celebrate the passage of the affordable care act, and if you're an adult and have been told you cannot get insurance because of pre-existing conditions such as high blood pressure or you happen to be like a couple from montgomery county, maryland, who had to get

Benjamin L. Cardin

0:11:44 to 0:12:05( Edit History Discussion )

Benjamin L. Cardin: two separate insurance policies because of pre-existing conditions, paying two separate premiums and two separate deductibles, and now you know you can get one insurance plan that will cover your family, you have a reason to celebrate because that, too, was corrected by the affordable care act that

Benjamin L. Cardin

0:12:06 to 0:12:26( Edit History Discussion )

Benjamin L. Cardin: was passed by congress one year ago. or if you happen to be a taxpayer who is concerned about the fiscal soundness of medicare or the budget deficit, you, too, have a reason to celebrate the enactment of the affordable care act, because the affordable care act extended the solvency of the

Benjamin L. Cardin

0:12:27 to 0:12:50( Edit History Discussion )

Benjamin L. Cardin: medicare system by 12 years, putting it on a safer basis, making it less vulnerable for our budget. and the enactment of the affordable care act reduced the federal budget deficit by over over $100 billion during the

Benjamin L. Cardin

0:12:51 to 0:13:12( Edit History Discussion )

Benjamin L. Cardin: first ten years and over over $1.5 trillion during the next -- during the first 20 years. this is because, quite frankly, madam president, this bill manages illnesses much more cost-effectively, it uses health information technology more effectively, it invests in wellness and it brings down the cost.

Benjamin L. Cardin

0:13:13 to 0:13:34( Edit History Discussion )

Benjamin L. Cardin: that's not what this senator is saying has. it has been established what the congressional budget office has told us will bring in savings on our deficit. so taxpayers have a reason to celebrate the enactment of the affordable care act. one other reason to celebrate the year anniversary of the

Benjamin L. Cardin

0:13:35 to 0:13:57( Edit History Discussion )

Benjamin L. Cardin: enactment of this legislation, let me give you one more example, madam president. several weeks ago i was at the greater baden health center, located about seven or eight miles from where we are today. they are doing something about the infant mortality rate in our community. we have too high of an infant mortality rate because of low

Benjamin L. Cardin

0:13:58 to 0:14:18( Edit History Discussion )

Benjamin L. Cardin: birth weight babies. some don't survive and become part of our infant mortality numbers in america, where we are much higher than we should be. others survive and have complications that need to be addressed by our health care system, making it challenging for the infant and expensive for our society. well, at the greater baden health center, they're doing

Benjamin L. Cardin

0:14:19 to 0:14:40( Edit History Discussion )

Benjamin L. Cardin: something about that. they are expanding their qualified health center to include prenatal care so pregnant women can get the type of attention they need to have healthy babies. that money comes from the affordable care act because of the expansion of our qualified health centers. we all celebrate what we're able

Benjamin L. Cardin

0:14:41 to 0:15:02( Edit History Discussion )

Benjamin L. Cardin: to accomplish. it will keep our children healthier and save us money and have less use of the emergency rooms by expanding care at our qualified centers. and madam president, if you're concerned about health disparities in america -- and you have reason to be -- minorities are two times more

Benjamin L. Cardin

0:15:03 to 0:15:23( Edit History Discussion )

Benjamin L. Cardin: likely to suffer from diabetes, 33% more likely to die from heart disease. in the african-american community, the infant mortality rate is 2.3 times higher than the white community. when we look at the number of people that have access to health care and health insurance, the minority

Benjamin L. Cardin

0:15:24 to 0:15:46( Edit History Discussion )

Benjamin L. Cardin: population represents one-third, yet they are one half of the people that don't have health insurance. i think we all agree that we need to do something about that. that's just not right in our sense of fairness. but let me just give you one more reason it will save us money. a study done at johns hopkins university and the university of

Benjamin L. Cardin

0:15:47 to 0:16:08( Edit History Discussion )

Benjamin L. Cardin: maryland point out that we can save $260 billion, $260 billion in excess direct medical care costs if we can deal with the minority health disparities. now, we had done something about that in the affordable care act.

Benjamin L. Cardin

0:16:09 to 0:16:30( Edit History Discussion )

Benjamin L. Cardin: an amendment that i was proud to introduce established the institute for minority health and health disparities within the national institutes of health, and we have developed minority health and disparity offices in each of our agencies that deal with health care, that do something about health disparities in america. we can all celebrate that we're

Benjamin L. Cardin

0:16:31 to 0:16:51( Edit History Discussion )

Benjamin L. Cardin: able to move that forward in the affordable care act. madam president, we should all take pride that america at long last, after decades of unsuccessful attempts, has acted and health care today will be -- the health care is a right, not a privilege. no longer as our dear friend,

Benjamin L. Cardin

0:16:52 to 0:17:15( Edit History Discussion )

Benjamin L. Cardin: the late senator kennedy said, we no longer have a sick care system, we have taken action to include all under health care in america. now, i understand that the republicans in the house want to repeal each and every one of these improvements and accomplishments, and they offer no hope of taking these issues

Benjamin L. Cardin

0:17:16 to 0:17:37( Edit History Discussion )

Benjamin L. Cardin: up in a serious manner during this congress. speaking on behalf of our seniors, speaking on behalf of our small business owners, speaking on behalf of the consumers of health insurance in america, speaking on behalf of what is right as far as covering and making sure everyone has access to affordable care, we don't want to see that happen.

Benjamin L. Cardin

0:17:38 to 0:18:01( Edit History Discussion )

Benjamin L. Cardin: we don't want to move backwards. we have reason to celebrate the accomplishments of moving forward with health care. we want to move forward, not back, and continue to build upon an american health care system that provides affordable, quality care to all americans. with that, madam president, i would yield the floor and suggest the absence of a quorum.

Benjamin L. Cardin

0:18:02 to 0:18:07( Edit History Discussion )

Benjamin L. Cardin: will call the roll.

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